MEDICAL & PRESCRIPTION DRUGS
Weaber, Inc. offers one medical and prescription drug plan option with Capital Blue Cross/MagellanRx.
Capital Blue Cross Performance PPO 1500
Under the Capital Blue Cross Performance PPO 1500, members have the option to receive care from three network levels: Performance Plus (preferred) Network, Performance Select, or Out-of-Network providers. Though, please note that higher benefits are paid when using Performance Plus network (See more information below).
This plan includes prescription drug coverage through MagellanRx. Deductibles and Out-of-Pocket Maximums (OOPM) accumulate January 1, 2025 - December 31, 2025. Preventative care is covered at 100% when using an in-network provider.
Please refer to the Summary Plan Description (SPD) and Summary of Benefits and Coverage (SBC) as well as the carrier contracts for information regarding specific benefit levels, exclusions and limitations for all policies.
PERFORMANCE PPO - KNOW WHERE TO GO
When it comes to your healthcare, employees often need to choose between a high-quality offering while keeping costs low. Trying to find a balance between both can be challenging.
Capital Blue Cross offers a plan that provides both quality care and low costs while preserving choice for employees — the Performance PPO. Using clinical data to identify high-performing providers, Performance PPO places those doctors and hospitals in a select lower-cost tier. In addition to lower costs, employees have the freedom to choose to get their care from several renowned health systems throughout Central Pennsylvania and the Lehigh Valley.
Preventive care services are covered at 100% In-Network. For a full list of covered preventive services, use the button below.
PRESCRIPTION DRUG COVERAGE - MAGELLANRX
When you enroll in the Capital Blue Cross Performance PPO medical plan, you receive comprehensive prescription drug coverage through MagellanRx.
To search for a covered drug in the MagellanRx Formulary, navigate to magellanrx.com/member/documents account and select the NetResults Formulary*
Please note that Prescription Management may apply; such as prior authorization, step therapy, and quantity limits for prescription drugs under the plan. Specialty medications must be filled at the approved MagellanRx Pharmacy through Payer Matrix.
*The MagellanRx formulary is subject to changes throughout the year.
OSS HEALTH DIRECT CARE
Weaber, Inc. contracts with OSS Health. If you or your loved one is in need of medical services or treatment, this program is available for you to receive quality health care at discounted costs. Below are examples of available procedures that are included in this program.
How It Works
If care is needed, the employee contacts OSS and speaks with a Patient Navigator using the contact information provided on your card to schedule your initial appointment. The Patient Navigator oversees all aspects of your care. This streamlines the paperwork process and shortens the wait times for treatment.
Services Include
- Inpatient Services - Spine and joint surgery
- Outpatient Services - Orthopedic repair surgery, arthroscopic procedures, fracture repair
- Pain Management Injections
- Radiology Testing - MRI/MRA, CT scans
Program Includes
- Office Visits
- Medical Equipment/Instrumentation
- Facility & Physician Fees
- Surgery
- Anesthesiology Services
- Pain Management
- Imaging
- Rehabilitation/Physical Therapy
- Home Health Care (if prescribed)
For More Information
Contact 717-848-4800 ext. 4424 or email gsematoske@osshealth.com
